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← Document results/DEP Box 37/250 BROADWAY; Block: 124 Lot: 24 BIN: 1001408 245 Broadway, 2-4 Murray St. 1-7 Park Pl, 239- 247 Broadway
Document / 62 pages

Lead clearance sampling chain of custody, 250 Broadway, Sept 2001

Machine-extracted title · confidence 90%

Chain of custody documentation for lead dust wipe samples collected at 250 Broadway in September 2001.

NYC-WTC_000106015–000106076

Folder label: “250 BROADWAY; Block: 124 Lot: 24 BIN: 1001408 245 Broadway, 2-4 Murray St. 1-7 Park Pl, 239- 247 Broadway

Page image
Scanned page image, NYC-WTC_000106072
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

jy109 A'1 NEW YORK CITY HOUSING AUTHORITY LEAD DETECTION AND ABATEMENT UNIT DUST WIPE SAMPLE CHAIN OF CUSTODY

Contract # Date .. - l l/l 0./.. Inspector's Name ,.-~7.•#- , , -- ....... Development Release #.. ......................... St el4ni .....O/ ......................................•• Address S'r Z .. ,-.., qtr d 'i L ,.~ Fax to (718) 707-5255; Attn: Raphael Flc

A artment/Fac' i T e /~i G vP 1ai 4$ ReportBills must be submitted to: NYCHA—Technical Services-LDAU EDP # .. 5 .... SH # 1 Vleairance Category: -•...I...--...._. th 23-02 49thAvenue, 5 floor LDAU Ticket #/Note:....•..................•---------.............................................. Long Island City, NY 11101 Clearance Cate ories: 1. Interior Treatment without Containment 3. Exterior Work On Painted Surfaces 5. Soil Work 2. Interior Treatment with Containment 4. Routine Maintenance 6. 504 Apartment

SAMPLE AREA LAB SAMPLE ID ROOM EQUIVALENT SURFACE TYPE DIMENSIONS f: RESULT (Month-Date-Initials-No.) (in inches) ( ) (µg/f2) WS WW ST SL -/9 __1* -3/ / 9N- Pr e eo • d~ /Z X/7i r1/1 BLANK Other. Wa WW ai AL L x/ other ?j

WS WW ST SL --/ -J - - 3 3 /9 s ' /si' ; Cbr~,bPi l e Other: /ax `Z -- 3 S' F, ! WS WW ST SL X Z / k I -- \ -- -- d Other l / --

I,ii,WS WW ST SL -- -- -- 3 pos 1/ pm er

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- t!./ -- -- -- --3Gi gS - ed •/ ,moo .I r C L,_ ~, r 1n y1, WS WW Other: ST SL I/ Z X Iiu WS WW ST SL 2/ / r — , / / -.7 w Wei l I vv - FL WS WW ST SL X -- -- Other. FL WS WW ST SL X -- -- I lOther: FL WS WW ST SL X -- -- -- Th lOther: FL WSWWS X -- -- -- Other. FL WW ST SL X

FL WS W* ST SL X -- — -- Other. FL WS WW ST SL X FLWS W STSL X -- -- -- Other. FL WS WW ST NS X -- -- -- Other FL WS WW ST SL X -- Other . ._ _.. FLWSWWSTSL -- -- Other. TREAD: SL = STAIR LANDI ABBREVIATIONS: FL= FLOOR; R'S = W NDOW SILL; WINV =WIDOW WELL; ST = STAIR Sampled By: ...... `T l tl .1. ............... Date: ............... ... <...... Time: ~/GI%OAS l?~ Relinquished By:.. J.;G (~.... tr. .J ................... Date: . ...~1 ..~.~1... Time: ......................................... Date: ~~..........1 t 9..I.. .... Time: • Received By: .........Q. ...............Cede.k ............. Analyzed By: ................................................................................. Date: ...................................Time: Total number of samples on this page Required Turnaround Time (TAT) is _. _... hrs NYC-WTC 000106072

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NYC-WTC_000106072Source: NYC Law Department, mirrored locally

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